EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC (NPI# 1184270258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184270258 |
| Entity Type | Organization |
| Organization Name | EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC |
| Practice Address |
2500 Wigwam Pkwy Ste 111 Henderson NV 89074-7113 |
| Practice Telephone | 7028521155 |
| Mailing Telephone | 7028521155 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | HERBERT EZUGHA (OWNER) |
| Authorized Official Telephone | 4077755035 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2500 WIGWAM PKWY STE 111 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871758649 | Herbert Osita Ezugha | Psychiatry & Neurology | 2500 Wigwam Pkwy Ste 111, Henderson, NV 89074-7113 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033365556 | Roshan Raja Do PC | Psychiatry & Neurology | 2821 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 | 2008-08-15 |
| 1871758649 | Herbert Osita Ezugha | Psychiatry & Neurology | 2500 Wigwam Pkwy Ste 111, Henderson, NV 89074-7113 | 2008-07-22 |
| 1922112697 | Monica M Chacon | Psychiatry & Neurology | 2380 W Horizon Ridge Pkwy, Henderson, NV 89052-5078 | 2006-08-18 |
| 1639257264 | Roshan Raja | Psychiatry & Neurology | 2821 W Horizon Ridge Pkwy, Ste. 100, Henderson, NV 89052-4427 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397297 | Jefferson Family Corporation, Inc | Psychiatry & Neurology | 304 S. Jones Blvd, Suite #3673, Las Vegas, NV 89107 | 2019-07-01 |
| 1477827574 | Mindy C Schwartz Md LLC | Psychiatry & Neurology | 85 Kirman Ave # 203, Reno, NV 89502-1339 | 2012-03-07 |
| 1356437339 | Gerardo David Rodriguez | Psychiatry & Neurology | 1190 Ryland St, Reno, NV 89502-1702 | 2006-10-05 |
| 1508337031 | Community Care Services LLC | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2018-12-10 |
| 1114257326 | Stacey B. Knobler Md Ltd | Psychiatry & Neurology | 6548 S Mccarran Blvd, Suite A, Reno, NV 89509-6164 | 2010-01-11 |
| 1598918302 | Gerardo D Rodriguez-gomez, A Professional Corporation | Psychiatry & Neurology | 1190 Ryland St, Reno, NV 89502-1702 | 2008-10-24 |
| 1073705273 | Stacey Blair Knobler | Psychiatry & Neurology | 6548 S Mccarran Blvd, Suite A, Reno, NV 89509-6164 | 2007-08-13 |
| 1275748493 | Rooman Ahad | Psychiatry & Neurology | 630 S Rancho Dr Ste A, Las Vegas, NV 89106-4849 | 2007-05-11 |
| 1679795678 | Colin Nguyen | Psychiatry & Neurology | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2007-05-02 |
| 1588797146 | University of Nv School of Medicine Multi Specialty Group Practice So | Psychiatry & Neurology | 1707 W Charleston Blvd, 220, Las Vegas, NV 89102-2351 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.